Monday, September 22, 2014

Guess What?

I have been reading everyone's comments on my post yesterday and everyone pretty much seemed to back me up about Thomas stopping the Cymbalta. So, yesterday I asked him what he wanted to do and he wanted to stop it so I gave him my full blessing to do so. He was on the lowest possible dose so stopping it wasn't a big deal especially concerning any side effects he might get (withdrawal). After eating breakfast and about 2 hours into his day he felt good. This was the cutoff time we were looking for to see if the Cymbalta might have been the key. Guess what is causing the akathisia? Yep, you guessed it. That dang Cymbalta. Yesterday at dinner though I told him that we should try going back on it today to see what happens. This will be a 1 day trial and then we're through with it. It's a full 1 week and 1 day until we see Dr. N. and I'm not going to wait around with Thomas in misery having to live with that wretched feeling.

The day that he had the akathisia, after having walked to try to burn off some of the energy, it was still around so I suggested he take a lorazepam which he did. That brought it down to a 2 out of 10. I point loss of the 4 was the walk and 1 point was the lorazepam. Well the poor kid can't walk forever and I'd hate to see him back on lorazepam on a regular basis. As a side note, my sister posted here and told me that her daughter, my niece, couldn't tolerate Cymbalta either. Her daughter, Mona, lives with bipolar I disorder which is nothing short of hell as far as I am concerned and since she shares a similar illness to Thomas and is his cousin, it's not surprising that the both of them share an intolerance for the same med.

So, yesterday was a good day for Thomas, thank God. He did have to work and said he was depressed at work so I have to wonder if the Cymbalta was helping that. I don't know what to think about this "work depression." Dr. K. tries to tell Thomas that we all hate going to our jobs on certain days and that the depression is normal but I can't shake that it's something different for Thomas. The thing is, he's not the best a labeling emotions, in my opinion, and I wonder if the "depression" he feels is fueled by something else entirely, like a mean co-worker or stressors of the job. That is one thing we have tried to get to the bottom of and can't seem to do.

So all-in-all it was a success stopping the Cymbalta. I did mention to Thomas that he should try going back on it today to see what happens but I think I'm not going to captain that ship. I'll suggest it but I'm going to leave it in his hands whether or not to restart it. He didn't want to go on it to begin with because he was worried about the side effects but Dr. N. calmed his worries about them so he went ahead with taking it but in the end it's the side effects that got him. He had been right.

The only worry for me is that we're setting a precedence here with meds. Basically what we just taught him was that if he's uncomfortable then he needs to stop the meds. I'd hate to see this turn into a cycle of refusing to take meds that ultimately would help him. That's all I need is a kid, like so many of you deal with, that begins to refuse meds, leaving me with a sick young man on my hands.

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